Alzheimer's Disease Severity Is Associated with an Imbalance in Serum Levels of Enzymes Regulating Plasmin Synthesis

Alzheimer's disease (AD) is a central nervous system (CNS) disease characterized by loss of memory, cognitive functions, and neurodegeneration. Plasmin is an enzyme degrading many plasma proteins. In the CNS, plasmin may reduce the accumulation of beta amyloid (Aβ) and have other actions releva...

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Main Authors: Francesco Angelucci (Author), Katerina Veverova (Author), Alžbeta Katonová (Author), Lydia Piendel (Author), Martin Vyhnalek (Author), Jakub Hort (Author)
Format: Book
Published: MDPI AG, 2022-08-01T00:00:00Z.
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001 doaj_10736cb731c94ecca32a1f16d7b7938f
042 |a dc 
100 1 0 |a Francesco Angelucci  |e author 
700 1 0 |a Katerina Veverova  |e author 
700 1 0 |a Alžbeta Katonová  |e author 
700 1 0 |a Lydia Piendel  |e author 
700 1 0 |a Martin Vyhnalek  |e author 
700 1 0 |a Jakub Hort  |e author 
245 0 0 |a Alzheimer's Disease Severity Is Associated with an Imbalance in Serum Levels of Enzymes Regulating Plasmin Synthesis 
260 |b MDPI AG,   |c 2022-08-01T00:00:00Z. 
500 |a 10.3390/ph15091074 
500 |a 1424-8247 
520 |a Alzheimer's disease (AD) is a central nervous system (CNS) disease characterized by loss of memory, cognitive functions, and neurodegeneration. Plasmin is an enzyme degrading many plasma proteins. In the CNS, plasmin may reduce the accumulation of beta amyloid (Aβ) and have other actions relevant to AD pathophysiology. Brain plasmin synthesis is regulated by two enzymes: one activating, the tissue plasminogen activator (tPA), and the other inhibiting, the plasminogen activator inhibitor-1 (PAI-1). We investigated the levels of tPA and PAI-1 in serum from 40 AD and 40 amnestic mild cognitively impaired (aMCI) patients compared to 10 cognitively healthy controls. Moreover, we also examined the PAI-1/tPA ratio in these patient groups. Venous blood was collected and the PAI-1 and tPA serum concentrations were quantified using sandwich ELISAs. The results showed that PAI-1 levels increased in AD and aMCI patients. This increase negatively correlated with cognitive performance measured using the Mini-Mental Status Exam (MMSE). Similarly, the ratio between tPA and PAI-1 gradually increases in aMCI and AD patients. This study demonstrates that AD and aMCI patients have altered PAI-1 serum levels and PAI-1/tPA ratio. Since these enzymes are CNS regulators of plasmin, PAI-1 serum levels could be a marker reflecting cognitive decline in AD. 
546 |a EN 
690 |a Alzheimer's disease 
690 |a amnestic mild cognitive impairment 
690 |a plasmin 
690 |a tissue-type plasminogen activator 
690 |a plasminogen activator inhibitor-1 
690 |a ratio 
690 |a Medicine 
690 |a R 
690 |a Pharmacy and materia medica 
690 |a RS1-441 
655 7 |a article  |2 local 
786 0 |n Pharmaceuticals, Vol 15, Iss 9, p 1074 (2022) 
787 0 |n https://www.mdpi.com/1424-8247/15/9/1074 
787 0 |n https://doaj.org/toc/1424-8247 
856 4 1 |u https://doaj.org/article/10736cb731c94ecca32a1f16d7b7938f  |z Connect to this object online.